{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T05:56:03Z","timestamp":1771566963295,"version":"3.50.1"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"07","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Fortschr R\u00f6ntgenstr"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:p>\n            Purpose\u2002Purpose of this paper to present results of a group of 21 consecutive patients who underwent uterine artery embolization (UAE) immediately before myomectomy. Surgical myomectomy can lead to a substantial blood loss in case of large or multiple tumors due to the hypervascularization of the tumors. This may lead to multiple blood transfusion or hysterectomy. In cases were the preservation of the uterus is demanded, pre-operative embolization could reduce the risk of substantial bleeding.<\/jats:p><jats:p>\n            Materials and Methods\u2002Between January 2011 and March 2016, 21 patients underwent UAE 24 hours before myomectomy. All patients were asked by questionnaire about post-surgical follow-up, complications, the length of the scar, satisfaction and improvement of symptoms. Data of the operation and embolization were retrospectively assessed.<\/jats:p><jats:p>\n            Results\u2002UAE could be performed in all patients without complications. Mean diameter of the largest myoma was 12.7\u200a\u00b1\u200a3.2\u200acm, primary preservation of the uterus succeeded in all cases. In none of the cases a perioperative blood transfusion was necessary. One patient underwent hysterectomy in another hospital after primary successful resection, one patient received transfusion of 2 bags of red blood cell concentrate during her stay in hospital.<\/jats:p><jats:p>11 of 21 patients responded to the questionnaire. 10 of 11\u00a0had subjective symptom improvement. Mean inability to work was 31 days, the mean self-measured length was 12\u200acm. 9 of 11 patients would recommend the procedure, one patient was in the second trimester of pregnancy.<\/jats:p><jats:p>\n            Conclusion\u2002Preoperative uterine artery embolization facilitates a safe and uterus-preserving myomectomy in patients with very large or multiple fibroids.<\/jats:p><jats:p>\n            Key Points\u2002<\/jats:p><jats:p>\n            Citation Format\n          <\/jats:p>","DOI":"10.1055\/s-0044-101555","type":"journal-article","created":{"date-parts":[[2018,3,7]],"date-time":"2018-03-07T23:46:27Z","timestamp":1520466387000},"page":"616-622","source":"Crossref","is-referenced-by-count":9,"title":["Analysis of presurgical uterine artery embolization (PUAE) for very large uterus myomatosus; patient\u2019s desire to preserve the uterus; case series and literature review"],"prefix":"10.1055","volume":"190","author":[{"given":"Dirk","family":"Schnapauff","sequence":"additional","affiliation":[{"name":"Charit\u00e9 Universit\u00e4tsmedizin Berlin, Campus Virchow-Klinikum, Department of Radiology, Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manon","family":"Russ","sequence":"additional","affiliation":[{"name":"Charit\u00e9 Universit\u00e4tsmedizin Berlin, Campus Virchow-Klinikum, Department of Gynecology, Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Kr\u00f6ncke","sequence":"additional","affiliation":[{"name":"Klinikum Augsburg, Department of Diagnostic and Interventional Radiology and Neuroradiology, Augsburg, Bavaria, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthias","family":"David","sequence":"additional","affiliation":[{"name":"Charit\u00e9 Universit\u00e4tsmedizin Berlin, Campus Virchow-Klinikum, Department of Gynecology, Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2018,3,7]]},"container-title":["R\u00f6Fo - Fortschritte auf dem Gebiet der R\u00f6ntgenstrahlen und der bildgebenden Verfahren"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0044-101555.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,7,5]],"date-time":"2018-07-05T06:30:40Z","timestamp":1530772240000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0044-101555"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,3,7]]},"references-count":0,"journal-issue":{"issue":"07","published-online":{"date-parts":[[2018,7,2]]},"published-print":{"date-parts":[[2018,7]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0044-101555","relation":{},"ISSN":["1438-9029","1438-9010"],"issn-type":[{"value":"1438-9029","type":"print"},{"value":"1438-9010","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,3,7]]}}}